Nurses' understanding of nursing work in departments-Head nurses are the most basic managers and organizers, directly responsible for the supervision of front-line nurses, and the core personnel of medical service quality management, which plays an important role in implementing medical policies, improving service quality and improving business performance. Based on years of work experience, I talk about some practices and experiences in nursing management:
First, improve their own quality and establish a good image.
As a head nurse, the cultivation of comprehensive quality is very important. First of all, you should learn to be a man, be honest, have a sense of responsibility, be dedicated and enterprising, have a grateful heart, always maintain an optimistic and cheerful personality, have a calm and calm attitude towards things, understand business, have solid professional knowledge, be self-respecting, self-reliant, self-loving, and have the spirit of self-awakening, constantly improve yourself and establish.
Second, empower subordinates and improve execution.
Our department has six wards and a clinic. If there is no reasonable arrangement and authorization, the head nurse will inevitably attend to one thing and lose sight of another, and the management will not be in place. Therefore, it is necessary to properly authorize them to participate in management, so that they have a sense of responsibility and honor, and improve their work enthusiasm and management ability. Then I will concentrate my limited energy on inspection, supervision and supervision.
1. Authorize and appoint team leaders reasonably and effectively;
2. Clearly tell the goals and codes of conduct of subordinate departments and teams, what to approve and encourage, and what to oppose;
3. Don't interfere excessively after authorization, and make demands in the form of negotiation or expectation as far as possible;
4. Respect and trust each other, because the most effective respect for others is trust;
5. Timely assess their completion of the authorized work.
Third, use coordination and organizational skills in management.
The head nurse is the organizer and core of the department and should have cohesion and appeal, because the core of management is people and the essence of management is coordination. Respect, communication and service are linked together. When these three things are done, coordination will naturally come. In addition, the head nurse should play the role of "bridge", coordinate the relationship between them, do not be unprincipled, and do not undermine each other, so as to promote good cooperation between the whole departments, thus forming a good situation of relationship integration, active work and hard work.
Fourth, establish harmonious interpersonal relationships, mobilize the enthusiasm of nurses and improve team cohesion.
1. Nurses' joys and sorrows mainly revolve around three factors: sense of accomplishment, working environment and personal development. Through contact with nurses, we can quickly find out what is the main driving factor of her performance change, so as to prescribe the right medicine. Usually, we should observe more, understand and help her solve all kinds of difficulties in time, and even a little care will be kept in mind by nurses.
2. Nurses should seize the opportunity to praise if they do a good job, even if they work hard in obscurity.
3. Treat people with affection and with actions. The affection between head nurses and nurses is established in daily life. We should treat and handle all people and things fairly, respect their suggestions, make their advantages complement each other, support each other, trust each other and be responsible for each other, and form a good team atmosphere so that nurses can work happily.
Verb (abbreviation of verb) learning and training
The total number of nurses in our department is 120, and their knowledge level is uneven. In view of the poor foundation, weak basic knowledge and lack of professional knowledge of young nurses, the "Reading Day" activity has been launched since 20xx, and the "three basics" training has been planned and systematically carried out for nurses in 20xx:
1, unified thinking: mainly aimed at the ideological unity of the backbone of the nursing team leader and the responsible team leader, so that they can support and cooperate.
2. Planning: According to the contents of the "three basics" in the nursing booklet, make a good course arrangement, and have three classes a month, divided into Class A and Class B, each time for one hour, with the team leader and head nurse taking the lead.
3. Implementation: In the process of implementation, the head nurse will supervise irregularly, set up an attendance sheet, ask the head nurse for leave in special circumstances, make up the study time later, and stay in school later.
4. Assessment: There are two types: oral questioning and written examination. Those who fail the examination will be given a make-up examination.
5. Exchange of learning experience: Ask nurses with good academic performance to exchange learning experience.
6. Help, help and lead: Let good students and poor students study together, help her, take care of her and support her.
7. Perseverance: No matter what difficulties you encounter, you must keep your faith and stick to it.
After two years of standardized study, the basic knowledge of nurses in our department has been greatly improved. The pass rate of the "three basics" unified examination in the whole hospital ranged from 50% to 70% and then to 80%, reaching 95% this year, with an average score of 88, ranking first in the whole hospital.
Management is an art, we should pay attention to ways and means, help nurses sincerely, give more encouragement, and encourage them to go up. At the same time, we should have a broad mind, tolerate some shortcomings of colleagues, and care for nurses. Speak for nurses, respect each other, respect each other, and strive to become a qualified head nurse in nurses' hearts. Hold regular meetings. Before the meeting, the head nurse should do her homework well and have a draft to list the problems that have occurred since the last meeting. * * * It is more effective to formulate and modify the relevant regulations of the department and formulate a good rule than to constantly criticize the behavior of nurses. You can let most nurses share your work, pressure and responsibility, let everyone know what is taboo, disinfection and isolation system, patient safety management system, and discuss various nursing issues democratically at the same time. Everyone has a special task, and everyone is responsible for everything. The responsibility of nursing work should be implemented to everyone, avoiding meticulous and hands-on work. Head nurses should pay attention to the management and supervision of key links to prevent major accidents. When each regulation was first formulated, a probation period was given for everyone to use their brains and make suggestions. During the probation period, they can speak freely before formulating and implementing it.
Finally, thank you for listening to my heart. So far, I really like my job. It also witnessed the great achievements made by the hospital in pioneering and innovating and improving its comprehensive strength. Thanks to the education and training of the hospital. It was the hospital that gave me such a happy life. I have the responsibility and obligation to do my bit for the development of the hospital.
Nurses' understanding of nursing work in departments II. After working these days and listening to the guidance of the leaders, I have gained a lot, felt a lot, and deeply realized the sacredness, greatness, triviality and triviality of medical work! As a nursing worker, our work always revolves around the nursing concept of "taking patients as the center and promoting patients' health". To really practice this nursing concept, we should have a sense of responsibility, meticulous and solid theoretical knowledge and good nursing skills, as well as love, good communication skills and dedication.
Responsibility is a must for every nursing worker. Without it, we can do nothing. Patients live and die together, and our responsibility is more important than Mount Tai. Every thing, every detail, we are not allowed to be careless. In daily work, we must strictly follow the rules and regulations, conscientiously do every nursing operation procedure, and always maintain the spirit of "being cautious and independent".
Careful is also essential in our nursing work. We are called "angels in white" largely because we are more careful than others. The change of illness, especially that of critically ill patients, requires us to look for the candle of life in observation at all times and make it burn more and more brightly. Therefore, in our work, we must strictly check three or eight pairs, pay more attention to the patient's condition changes, be diligent in eyes, hands and feet, do a good job in various nursing measures, do a good job in nursing records and hand-over work, and prevent mistakes and accidents.
Professional theoretical knowledge and nursing skills are the basis of our work. Although we have mastered some professional knowledge and basic clinical skills during our study, medical knowledge is constantly developing and updating, which requires us to learn more and know more about the new progress of clinical nursing. We should be good at summing up, using flexibly, integrating theory with practice, constantly improving our professional quality, advancing with the times and being brave in innovation.
As a nurse, we should treat every patient with love and treat them equally. Every patient who comes to the hospital is more or less worried and afraid. At work, patients or their families will inevitably find fault with our nurses, resulting in verbal conflicts due to various factors. Since we have chosen nursing work, we should accept the grievances and helplessness brought by the work, calm our mind, and do a good job in psychological care of patients while doing all kinds of nursing measures. Besides, we should respect patients' right to privacy and do our best to help them recover.
Nursing also requires us to have good communication skills. The patient is not only an independent individual, but also a social person. During his illness, we should not only meet his physiological needs, but also consider his emotional needs, love and belonging needs, self-esteem needs and self-realization needs. Learn to communicate effectively between nurses and patients at work and establish a good nurse-patient relationship. In the process of nursing operation for patients, we should avoid only completing the operation mechanically, but also communicate with patients emotionally, so as to create a good environment for our nursing work, better serve patients and promote their rehabilitation.
Under the tense nurse-patient relationship, in addition to being proficient in business, we must learn to understand the law. In fact, understanding the law and carrying out our work are interrelated. Only by strictly implementing the rules and regulations and conscientiously doing every nursing job can we abide by the law. Only by knowing the law can we always urge ourselves to abide by the principles and do every job correctly and rigorously.
As newcomers, we still have a lot of knowledge to learn, consolidate and strengthen in theory, and there are still many shortcomings to be improved in our work. I hope that leaders, head nurses and teachers will give more guidance and guidance. We should also study hard, ask more questions, and strive to improve ourselves and be competent for our work. Since you have chosen nursing work, you must be determined to be a qualified nurse, a nurse who can make patients trust and a nurse who can reassure their families!
Nurses' understanding of nursing work in three subjects. I used to like to watch stories about the emergency department in film and television programs. I think the doctors and nurses in the story are so decisive, capable and charming that I envy them. Unexpectedly, when I grew up many years later, I was lucky enough to become an emergency nurse. From the initial anxiety to gradually finding the law, I really realized that it is not easy to be a good emergency nurse!
The emergency department is one of the most important windows in the hospital. My hospital is one of the best comprehensive tertiary hospitals in the province. It not only receives normal acute and severe patients, but also receives critically ill patients transferred from prefectures and counties. It is anxious, busy and complicated. Facing the first diagnosis and rescue of critical emergency patients, emergency patients often have unclear diagnosis, unclear condition and rapid changes. If it is not handled properly, it is easy to have medical disputes. However, patients and their families are prone to impatience, anxiety and fear. The emergency room is different from the ward. Medical staff have enough time to communicate with patients and their families, understand the needs of patients in time, and establish a good nurse-patient relationship. In the emergency department, patients and their families have not yet established a good sense of trust in their brief contact with medical staff, and they are very sensitive to every nuance of medical staff. The speech and behavior of medical staff will have a great influence on patients' psychology. As a result, the treatment behavior of medical staff is not understood, leaving patients and their families with the illusion of "being ignored" and "being urgent and not urgent". Therefore, the more I feel that communication is the most easily overlooked and important thing in an emergency.
Nightingale said: Nursing needs not only exquisite skills, but also art.
First of all, we must learn to observe, in order to be good at discovering the existence of problems, including observing the patient's condition, psychology, needs and family members. For example, some patients' families are critical of nurses' behavior, but they don't fully understand patients' fluids. For such family members, we should patiently remind them where to call a nurse when changing fluids. At the same time, we should also patrol the ward on time to observe the progress of the liquid, so as to avoid conflicts with the patients' families to a great extent because the liquid was not replaced in time. Second, learn to communicate. Mutual respect and trust between people is based on communication.
For patients who come to the emergency department, we should actively ask and guide them enthusiastically. For example, we can help patients with mobility difficulties, or help them take them to the clinic with carts, measure their vital signs and give them to the nurses in the clinic; For patients who need and can go to the ward for treatment, the location of the ward can be pointed out in detail to prevent patients from "running wrong".
For patients who have been ill for a long time but their condition is not critical, we can advise them to go to the outpatient clinic for medical treatment, and patiently and carefully inform them of the location and time of medical treatment, so as to facilitate patients' arrangements. A smiling expression and a hand gesture can not solve the physical pain of patients, but can quickly shorten the distance between nurses and patients, effectively meet the psychological needs of patients who need care, thus facilitating our follow-up nursing work.
Finally, through observation and communication, learn to judge, and have an accurate understanding and judgment of the patient's condition and needs, which is conducive to the rescue work of medical staff and buys time for patients. For example, trauma patients can know the location and severity of their injuries through observation and general inquiry, and seek medical treatment at the first time. Registration procedures can also be prepared.
The above is just a brief talk about my short work in the emergency department, and there are still many things to learn. Everyone is my teacher in the emergency department, and everything is my experience, which has taught me a lot, whether it is being a person or doing things. Of course, being a good emergency nurse is not enough. It also needs a solid theoretical foundation, rich rescue experience, quick response and quick action. This is a guarantee to stand the test in an emergency.
Nurses' knowledge of nursing work in departments soon passed. I left the campus where I studied and lived for five years and worked in ICU for almost a year. Here, it is a change in my life; Here, it is fertile ground for me to sweat and realize my ideal. During this year, I personally felt the care, love and sympathy of all medical staff in ICU for patients, and what is dedication and dedication, but those are really not ideological classes and slogans. As a new nurse, I feel the infinite care and help of a senior nurse.
When I first arrived in ICU, I was full of curiosity and fear about everything with the youth and childishness of my students. Every day here is very fulfilling. In a spacious, bright, clean and tidy environment, ICU nursing team is busy and orderly working every day. Every time I meet a new patient and rescue, the cooperation between doctors and nurses is so tacit. It is this colorful medical team that has turned precious lives into safety again and again. These scenes make me marvel at the sacredness of medical treatment. At this time, I wish I had rich professional knowledge and clinical operation ability, and I could become a member of this excellent team as soon as possible to defend my fragile life.
When I feel less unfamiliar with ICU equipment, expertise and theory, I will be in charge of patients. This will mean that the fragile life is in my hands. Patients are tracheal intubation, ventricular drainage tube, stomach tube, urinary tube, chest tube and other tubes, and I am responsible. At this point, I began to doubt whether my wings have grown up and whether I have flown independently. I'm worried that patients with bad temper and unconsciousness will unplug their tubes; Afraid that the patient's condition will change and need to be rescued; Afraid of delaying the work in the class and bringing trouble to the successors. When I was still worried about all this, the selfless help of teachers made me grow up slowly and step into a positive and fulfilling job. Although I am in charge of patients independently, I feel that teachers' eyes have never left me and the patients I am in charge of. I am very grateful to the teachers for "letting go of watching", which not only made me learn to be independent, but also made me less afraid. Whenever I encounter doubts, the teachers are always by my side, patiently explaining to me. After a year of hard experience, I basically have the professional level and psychological quality that an ICU nurse should have. I should remember the duties that an ICU nurse should have, master the use methods and precautions of various daily equipment in ICU, cooperate with doctors to rescue common critical patients in an orderly way, fully remember the nursing precautions of various critical cases, and really grow from a newcomer to an excellent critical care nurse, and work hard for this.
Some people say that ICU is a department with a great sense of accomplishment and can personally verify the miracle of life; Some people say that ICU is a dirty, smelly and lifeless department, and the pressure on its shoulders is heavier than any other department; I said, ICU is an elite force, and the quality of medical staff is extraordinary. ...